Referral Manager

2 weeks ago


Des Plaines, United States Retina Consultants, Ltd. Full time

**Job description**

Retina Consultants, Ltd. is a medical and surgical retina practice serving the greater Chicago area with offices in Des Plaines, Libertyville, Elgin, Lisle, and Hickory Hills. The team specializes in adult retinal disease and pediatric retinal disease and has been providing unmatched care to the Chicago area for over 35 years.

We are dedicated to giving our patients the highest level of care and compassion as we navigate them through the often-frustrating world of insurance, referrals, and prior authorizations. The referral manager is a vital member of the Retina Consultants team and works in conjunction with the clinical, billing, and front desk team to verify insurances and obtain authorizations for procedures.

**RESPONSIBILITIES**
- Confirm and validate patient insurance coverage by contacting insurance companies via phone, online portals, or other designated methods.
- Gather and document accurate patient information, including demographic details and insurance policy specifics.
- Communicate with patients to explain their insurance coverage, benefits, and any potential out-of-pocket expenses associated with medical services.
- Collaborate with healthcare providers to obtain and update necessary information related to patient insurance.
- Initiate pre-authorizations for procedures and request office visit referrals.
- Identify and address discrepancies or issues with insurance information, working proactively to resolve any challenges that may arise.
- Record and maintain accurate insurance details in electronic health records (eClinicalworks and epic) and billing systems.
- Adhere to all relevant healthcare regulations and guidelines, including HIPAA, in handling patient information.
- Establish and maintain positive relationships with insurance company representatives, addressing inquiries and obtaining necessary information.
- Develop and implement efficient workflows and procedures to streamline the referral process and improve productivity.
- Train and supervise referral staff, providing guidance and support to ensure adherence to best practices and quality standards.
- Demonstrate proactive, professional communication across and within department to facilitate smooth workflow, and to ensure department is positively represented throughout the organization

**QUALIFICATIONS**
- High school or equivalent (required)
- Prior experience in insurance verification and medical office (required)
- Working knowledge of insurances, referrals, and prior authorizations (required)
- Must be excellent at multitasking
- Strong communicator with ability to problem solve and take initiative
- Must be very detail oriented and organized
- Ability to focus and work quickly

Pay: $50,000.00 - $55,000.00 per year

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Weekly day range:

- Monday to Friday

**Experience**:

- Insurance verification: 1 year (preferred)
- Medical billing: 1 year (preferred)

Ability to Commute:

- Des Plaines, IL 60016 (required)

Ability to Relocate:

- Des Plaines, IL 60016: Relocate before starting work (required)

Work Location: In person


  • Referral Specialist

    4 weeks ago


    Des Moines, United States Trinity Health Corporation Full time

    Employment Type: Full time Shift: Description: Are you patient centered and thrive on providing top notch customer service? Consider joining our team as a Referral Specialist! The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals,...

  • Referral Specialist

    4 weeks ago


    DES MOINES, United States Trinity Health Full time

    **Employment Type:** Full time **Shift:** **Description:** Are you patient centered and thrive on providing top notch customer service? Consider joining our team as a Referral Specialist! The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes...

  • Area Sales Manager

    1 week ago


    Des Plaines, United States Enhabit Home Health & Hospice Full time

    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home,...

  • Hospital Liaison

    1 month ago


    Des Plaines, United States Generations Healthcare Network Full time

    Description: **HOSPITAL LIAISON - Generations Healthcare Network - for Des Plaines, IL,** **_ Generations Healthcare Network has an immediate opening for a Full-Time Hospital Liaison for our network facility, Generations at Oakton Pavillion, in Des Plaines, IL. Some local travel is required._** **_ We seek a dynamic individual who will be the face of our...


  • Des Plaines, United States AutoNation Full time

    AutoNation Hyundai O'Hare At AutoNation, doing whats right by the customer comes standard at 300 locations coast to coast, so its no wonder we have served over 10 million happy customers. As an F&I Manager, youll be empowered with the resources and support needed to get every driver into the perfect deal including a fully transparent selling process and...


  • Des Plaines, United States AutoNation Full time

    AutoNation Hyundai O'Hare At AutoNation, doing what's right by the customer comes standard at 300 locations coast to coast, so it's no wonder we have served over 10 million happy customers. As an F&I Manager, you'll be empowered with the resources and support needed to get every driver into the perfect deal - including a fully transparent selling process and...


  • Des Plaines, Illinois, United States Oakton Community College Full time

    About Oakton College : For 50 years, Oakton College has been the setting where thousands begin or continue their college or career studies. Educating people of all ages, from all walks of life and from more than 40 nations, Oakton focuses on improving the quality of life for everyone who enters its doors.Job Description: Basic Functions and Responsibility: ...


  • Des Plaines, United States Oakton Community College Part time

    About Oakton College : For 50 years, Oakton College has been the setting where thousands begin or continue their college or career studies. Educating people of all ages, from all walks of life and from more than 40 nations, Oakton focuses on improving the quality of life for everyone who enters its doors.Job Description: Basic Functions and Responsibility: ...


  • Des Moines, United States BJC HealthCare Full time

    Additional Information About the Role Schedule PRN Flexible scheduling Region Float pool Greater St. Louis Overview BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment...

  • Hotel Van Driver

    4 days ago


    Des Plaines, United States Hilton Garden Inn Chicago O'Hare Full time

    Are you an engaging individual who enjoys safely transporting individuals to and from their destinations? As a Transportation - Van Driver, you are often the first and last interaction with guests, ensuring they leave with a positive lasting impression of Raymond Management Company (RMC). You will be responsible for operating and servicing the hotel van(s),...

  • Cook

    2 days ago


    Des Plaines, United States Raymond Management Full time

    ** Cook** **Job Category****:** Cook **Requisition Number****:** COOK002285 Showing 1 location **Job Details** **Description** **Who we are:** We have a strong, team-based culture where teammates appreciate and respect each other. Our culture, combined with our quality product and focus on serving guests makes our hotel an outstanding place to work. Our...

  • Restaurant Server

    6 days ago


    Des Plaines, United States Raymond Management Full time

    ** Restaurant Server - Hilton Garden Inn Chicago O'Hare Airport** **Job Category****:** Restaurant Server **Requisition Number****:** RESTA02096 Showing 1 location **Job Details** **Description** **Who we are:** We have a strong, team-based culture where teammates appreciate and respect each other. Our culture, combined with our quality product and focus on...

  • Nurse Practitioner

    2 weeks ago


    Des Plaines, United States Moments Hospice Full time

    JOB DESCRIPTION SUMMARY The Nurse Practitioner is a licensed professional nurse with advanced graduate education and clinical training who provides comprehensive palliative care services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The Nurse Practitioner provides palliative care through the...


  • Des Plaines, United States Moments Hospice Full time

    Job DescriptionJob DescriptionJOB DESCRIPTION SUMMARYThe Nurse Practitioner is a licensed professional nurse with advanced graduate education and clinical training who provides comprehensive palliative care services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The Nurse Practitioner provides...

  • Room Attendant

    7 days ago


    Des Plaines, United States Raymond Management Full time

    ** Room Attendant** **Job Category****:** Housekeeping **Requisition Number****:** ROOMA002727 Showing 1 location **Job Details** **Description** We are seeking a hardworking individual with a passion for serving others. As a Room Attendant, you will help provide clean, sanitized, and comfortable accommodations daily. You will play a key role in delivering...

  • Bartender-Weekends

    7 days ago


    Des Plaines, United States Raymond Management Full time

    ** Bartender-Weekends** **Job Category****:** Bartender **Requisition Number****:** BARTE002678 Showing 1 location **Job Details** **Description** We are seeking an attentive individual with a passion for serving others. As a Bartender, you will offer a warm welcome and help elevate our guests day. You will play a key role in delivering the RMC difference....


  • Des Plaines, Illinois, United States Michael Page Full time

    About Our Client We are partnered with a top General Contractor who has a phenomenal reputation in the Chicago market, as well as nationally. They are on the search for someone who still wants to grow with a firm. You will use your expertise to secure work with current and new clients. The company has been in business over 50 years with a very strong...


  • Des Plaines, United States Symetria Recovery Full time

    Who we are:Symetria Recovery is the #1 outpatient rehab in Illinois and Texas. It started with three simple, yet game-changing core beliefs: Addiction is a disease; co-occurring mental health conditions should be addressed, and patients deserve respect, not judgement. Symetria Recovery provides comprehensive substance abuse treatment with a focus on...


  • Des Plaines, United States Unum Full time

    Job Posting End Date: May 20 When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys...


  • Des Plaines, United States Michael Page Full time

    This client of mine is looking for an Estimator who is ready to grow with the company over the upcoming years. There is a ton of work that this company has already secured and want to bring in someone who can support this. This person will be responsible for preparing detailed estimates, determining material and equipment costs, calculating complete takeoff...